| Subject | Date Asked | Expert |
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| medicine | 7/12/2008 | Joshua Cappuccilli |
Q: my wife had back surgery about 4 yrs ago,since she has taken several pain medications,the last ...
A: It really depends on the test that she was tested with / or used. It is not possible for the ...
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| epi pens? | 7/10/2008 | Joshua Cappuccilli |
Q: How long does an epi (epinephrine pen) last and how long does a glucagon pen last? Also what is the ...
A: q) How long does an epi (epinephrine pen) last and how long does a glucagon pen last? a) I am not ...
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| Ziprasidone and mania | 6/27/2008 | Dr Alan Galbraith |
Q: Could you please help me understand the following paragraph? Are they saying that ziprasidone with ...
A: I can see why this paragraph is a tad ambiguous but I would have liked to see it in context. ...
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| Medication dosing schedule | 6/25/2008 | Joe Haynes, R.Ph., MBA |
Q: I have been taking Effexor XR 37.5mg for 2 months and I love it. The only problem is that I take it ...
A: Beverly- Most antidepressants will cause some sleep disruption because they increase the amount of ...
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| psych drugs | 6/21/2008 | Dr Alan Galbraith |
Q: Dr. Galbraith, Thank you for being a resource! Wow! How wonderful! I am trying to assist my 63-yr ...
A: I am obviously not in a position to say definitely whether your sister should be taking these drugs ...
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| prozac, vytorin, and alcohol | 6/20/2008 | Dr Alan Galbraith |
Q: I currently take 40mg of fluoxetine in the morning and 10/20 of vytorin in the evening. I like to ...
A: I’ll probably repeat some information of which you are probably already aware. Both ezetimide and ...
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| Toporal Side Effect? | 6/16/2008 | Joe Haynes, R.Ph., MBA |
Q: My mom is 89 years old, and is having a lot of lethargy and dizziness. She has a slight arrythmia, ...
A: Dory- Usually blood pressure medication is adjusted based on blood pressure more so than body weight ...
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| Shingles | 6/16/2008 | Joe Haynes, R.Ph., MBA |
Q: My wife suffers from shingles. She’s 57 years old. So far it’s been 8 weeks. What causes it… ...
A: Larry- My apologies for being tardy in answering your inquiry. Shingles is caused by the same virus ...
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| Chantix and hair loss | 6/15/2008 | Dr Alan Galbraith |
Q: Galbraith: I have taken Chantix for 3 weeks and am going to stop because my hair is thinning so fast ...
A: This is the second time I have had this reported to me and it makes me suspicious about this drug. ...
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| levothyroxine,marijuana & zoloft | 6/14/2008 | Dr Alan Galbraith |
Q: i've been taking levothyroxine for over 10 yrs., zoloft for 4yrs and smoking pot for 3yrs (heavy ...
A: There are no reported interactions between these drugs so far. However, I will point out that it is ...
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| Drugs causing darkening of skin? | 6/13/2008 | Dr Alan Galbraith |
Q: I started taking a combination of Plaquenil and Biaxin about a month ago for chronic Lyme Disease. ...
A: B. Plaquenil can certainly cause skin blemishes and are usually bluish-black discolourations both ...
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| Ziprasidone (Geodon) and Valproic Acid | 6/1/2008 | Dr Alan Galbraith |
Q: Can both be taken together? Sincerely, Jennifer
A: There are no reported interactions with these two drugs. So it can be said that an interaction is ...
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| antivert and meclizine | 5/30/2008 | Dr Alan Galbraith |
Q: Could you please tell me whether antivert and meclizine are the same thing? If not, what is the ...
A: They are exactly the same. Antivert is one trade (proprietary) name for the antihistamine, meclozine ...
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| increase skin permeability? | 5/29/2008 | Joshua Cappuccilli |
Q: I think this is sort of a pharmacology question...if you are unable to answer, any references to ...
A: This will not work. There are a number of reasons but the main one is that for caffeine to work as ...
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| Hair loss and Chantix? | 5/28/2008 | Dr Alan Galbraith |
Q: Galbraith. My girlfriend has taken Chantix for 2.5 months. She's never missed a pill and it ...
A: The crazy dreams etc are quite common with Chantix but if they are only minor, they are nothing to ...
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| Hair loss and Chantix? | 5/28/2008 | Joshua Cappuccilli |
Q: My girlfriend has taken Chantix for 2.5 months. She's never missed a pill and it achieved success ...
A: CHantix is a relatively new medication but it does not have a documented causality for hair loss ...
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| Methadone for pain | 5/27/2008 | Dr Alan Galbraith |
Q: I asked you some questions a couple of years ago regarding methadone for pain - you gave me some ...
A: I am not a pathologist but would suspect the brownish froth could be related to her emphysema with ...
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| Converting from Lortab to Methadone for pain | 5/27/2008 | Joshua Cappuccilli |
Q: My first question would be is what would be the conversion from Lortab 7.5 mg. two q.i.d. to ...
A: My first question would be is what would be the conversion from Lortab 7.5 mg. two q.i.d. to ...
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| Vitamin A | 5/24/2008 | Joe Haynes, R.Ph., MBA |
Q: As an M.D. I have used 50,000 IU vitamin orally for one month in treatment of skin keratosis with ...
A: Acute toxicity does not manifest itself until approximately 1 million units/dose which you are well ...
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| Tourette's | 5/23/2008 | Joe Haynes, R.Ph., MBA |
Q: My nine yr old son has Tourette's Syndrome. He is on Prozac, Clonidine and Tenax. Last week he had ...
A: My only guess would be since opiates are central nervous system depressants (sleep,somnolence, ...
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| I need advice on drug testing | 5/23/2008 | Dr Alan Galbraith |
Q: I am a very infrequent marijuana smoker. Most of my exposure occurs at random college parties, but ...
A: Unfortunately the active compound in marijuana, THC takes a long time to exit from the body and can ...
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| Adderall tolerance in2-3 days?! | 5/22/2008 | Dr Alan Galbraith |
Q: I started AdderallXR at 10mg. I did not notice an effect until I took 20mgXR at once. I felt the ...
A: Your question is long and involved and I have no ready answers for you. All I can say is that you ...
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| filled prescriptions | 5/14/2008 | Joe Haynes, R.Ph., MBA |
Q: When a doctor writes a paper prescription for someone, is the doctor able to know whether or not the ...
A: Jenna- Once you leave the doctor's office, there is no way for them to know whether you got it ...
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| Nexium long term use and med student syndrome | 5/14/2008 | Dr Alan Galbraith |
Q: I am a second year med student and possibly having med student syndrome but I just read a GI ...
A: A lot which is written about drugs is often scaremongering. I am not saying that adverse effects ...
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| timolol maleate | 5/12/2008 | Joe Haynes, R.Ph., MBA |
Q: Can timolol maleate reduce pressure from 54 hh mg to 15 hh mg in 2.5 days? Thank you! ANSWER: ...
A: Lauren- That seems reasonable to wait and I agree- why risk the side effects of the drug if there is ...
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| Allergic to most pain meds | 5/6/2008 | Joe Haynes, R.Ph., MBA |
Q: I will be having oral surgery in a few days and need some advice on pain medications. I am allergic ...
A: Adrian- Not much left. There is Ultram (tramadol) or Ultracet (tramdol and Tylenol) which may work ...
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| Taking Zantac in less and more frequent doses? | 5/5/2008 | Joe Haynes, R.Ph., MBA |
Q: Our 7-week old son has been taking Zantac for reflux for two weeks. The prescription from our ped ...
A: Since the total daily dose you are giving is less than prescribed, there will not be an overdose the ...
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| Vaccinations and Autism | 5/1/2008 | Joe Haynes, R.Ph., MBA |
Q: The rate of autism 40 years ago was 1 and 10,000. Now it's 1 in 150. Being I just had a son I ...
A: Having no scientific proof that vaccines do not cause autism does not automatically mean you have ...
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| decilone forte | 4/27/2008 | Dr Alan Galbraith |
Q: My brother has been taking decilone forte tablet for many years now without doctors prescription. ...
A: Not a good thing to take these tablets without medical advice and he will probably need professional ...
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| synthroid for weight loss? | 4/25/2008 | Joshua Cappuccilli |
Q: A little over a month-ago, I was put on a diet plan by my doctor which includes Adipex 37.5, Lasix ...
A: Unless you are hypo thyroid (meaning you have low thyroid function) there is not a long term benefit ...
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| synthroid | 4/25/2008 | Dr Alan Galbraith |
Q: I am 58,no health issues except for being overweight and having an extremely slow metabolism. I ...
A: You may have what is called - "metabolic syndrome" which is much commoner than was previously ...
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| vyvance | 4/24/2008 | Joshua Cappuccilli |
Q: My husband started vyvance five days ago. He liked how the drug made him feel. However, today he ...
A: Karin, Vyvance is a (relatively) short lived medication - meaning it will be out of his system ...
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| insomnia after benzo | 4/23/2008 | Joe Haynes, R.Ph., MBA |
Q: I took clonopin 1-2mg for 4yrs only at night to sleep and 1mg of xanax for 6 months. Of course they ...
A: You have at least two other drug options. One is Ambien which is a non-benzo but acts at the same ...
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| vyvance | 4/17/2008 | Dr Alan Galbraith |
Q: what is vyvance
A: Funny to get this question today as it was only yesterday that I was reading for the first time ...
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| Infant Zantac Dosage | 4/16/2008 | Joe Haynes, R.Ph., MBA |
Q: Our pediatrician prescribed Zantac syrup for our nearly 2 month old for reflux. He weighs approx. ...
A: Chris- Usual dose for Zantac is 2mg/kilogram of weight twice daily. Your baby weighs about 4.4 kilos ...
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| hgh releaser | 4/16/2008 | Joshua Cappuccilli |
Q: i have an extremely athletic 14 yoa daughter and an 11 yoa son. they take vitamins on a regular ...
A: That would not be beneficial and may be harmful for your children. First, HGH is at it's highest ...
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| medication interaction | 4/14/2008 | Joe Haynes, R.Ph., MBA |
Q: My 22-year old son takes a low dose(10mg)of Adderol once a day as needed to function at school. He ...
A: Donna- Any decongestant is going to work with the Adderall to raise blood pressure because ...
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| genetic polymorphism | 4/13/2008 | Dr Alan Galbraith |
Q: using CYP2C19 as an example, explain what is meant by genetic polymorphism of drug metabolising ...
A: It is late in Australia and this is an involved question. If you give me your email address I'll ...
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| Xanax hair drug test | 4/10/2008 | Joe Haynes, R.Ph., MBA |
Q: I took one .25mg pill of Xanax in early April to help me sleep. It was the first and only time I ...
A: Most drug tests are for classes of drugs like opiates or benzos in general. Xanax has a half life of ...
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| Nexium expiration | 4/10/2008 | Joe Haynes, R.Ph., MBA |
Q: I have some nexium with an expiration date of 12/25/07 E/09. My prescription calls for me to take ...
A: Without seeing the prescription label or the bottle, I'm not sure what E/09 is. But as far as the ...
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